HomeMy WebLinkAbout208 Linden St - Permits/Addition or Alteration - 02/12/1986i "I
City Of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address - �) a f.i
Name C1 f . T
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Mail Address i''
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Phone
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Name ! ��• ;�. rt c' � ' > ;lCt
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Address
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License No.
Phone ^f _
Lot
Block Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
Stock Options
Plan No Codes
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Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
signed I' date
I.
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr. Type Const.
Use Zone
Use of Building
Height
Lot Area
Frontage
Occ. Change from
=heatNo.
.
No. D.U.
a
Fin. Bsmt. area
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire DepartmentµT.—=
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
.G
Permit
Parkland
.r
City Sales Tax
' ((
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
i
`m
m
_IV
m
1
m
c
0
Street
AMT. -
RECEIVED
>
FEB 14 I6
Poll Fire Authority
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ZBACase# Date
BBA Case N Date
Building
Insp. Approval
by
date
Permit No.
Date
bistubuLon: Onginal -'Apphcant Blue - Office', canary - Sales Tax, Pink - Applicant Tag - Bldg. Insp.